# MR. DAVID GERARD SMITHSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417947755
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | R8N64 | MO | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0423432 | STATE LICENSE | KS |
| 05 | — | 100120320B | — | KS |
| 01 | — | 1417947755 | NPI\# | MO |
| 01 | — | 18578 | BNDD | MO |
| 05 | — | 2076744 | — | MO |
| 01 | — | R8N64 | STATE LICENSE | MO |